Professional paper - Professional paper
Surgical treatment of lower back pain and pain radiating to the leg

Ledić, Darko; Bajek, Goran; Kolbah, Barbara; Kovačević, Damir; Eškinja, Neven; Vukas, Duje; Stanković, Branislav; Girotto, Dean; Kolić, Zlatko (2012)
Metadata
Language Croatian
Title (Croatian)Operacijsko liječenje sindroma bolnih križa i lumboishijalgije
Title (English)Surgical treatment of lower back pain and pain radiating to the leg
AuthorLedić, Darko
Bajek, Goran
Kolbah, Barbara
Kovačević, Damir
Eškinja, Neven
Vukas, Duje
Stanković, Branislav
Girotto, Dean
Kolić, Zlatko
Abstract (Croatian)
Uvod: U modernom društvu križobolja je jedan od najčešćih bolnih sindroma. Takvo stanje u pravilu je uzrokovano hernijacijom intervertebralnog diska. Cilj je ovog članka procijeniti dvije kirurške metode liječenja križobolje i lumboishijalgije – razrađenim klasičnim pristupom, to jest mikrodiskektomijom, te isti taj pristup uz postavljanje proteze Barricaid™. Bolesnici i metode: Uključeni su bolesnici obaju spolova, starosti od 18 do 70 godina, koji do tada nisu operirali kralježnicu. Skupina bolesnika kojima se nije ugrađivala proteza sastoji se od 46 bolesnika srednje starosti 41,1 ± 8,6 godina. Skupina bolesnika kojima je ugrađena proteza Barricaid™ sastoji se od 30 bolesnika (16 muškaraca i 14 žena) srednje starosti 38,2 ± 9,5 godina. Svaki od tri klinička rezultata (VAS rezultat za bol u nogama, VAS rezultat za križobolju i ODI) i visina diska uspoređeni su među bolesnicima kojima je ugrađena proteza i bolesnicima kojima je učinjen klasični zahvat. Rezultati: Bolji rezultati postignuti su u skupini kojima je ugrađena proteza Barricaid™, specifično za VAS rezultat za bol u križima (97 % vs. 7 0 %, P = 0,016) i ODI (100 % vs. 87 %, P = 0,08). Zaključci: Naši rezultati ukazuju da je važno i operacijom, diskektomijom, pokušati što povoljnije utjecati na ovaj multifaktorijelni bolni sindrom, tj. da očuvanje visine diskalnog prostora smanjuje ubrzane degenerativne procese oboljelog kralježničnog segmenta i time osigurava povoljnije i dulje pozitivne učinke i na smanjenje bola, kao i na neurološke simptome.
Abstract (English)
Introduction: Low back pain is one of the most common syndromes of the modern society. As a rule, this condition is caused by a herniated intervertebral disk. The aim of this article is to evaluate two surgical approaches to low back pain and pain radiating to the leg – a refined classical procedure, i.e. microdiscectomy, and the same procedure coupled with the implantation of a protetic device – Barricaid™. Patients and methods: Patients of both genders were included, with an age range of 18 to 70 years. The group of patients that underwent the classical approach consisted of 46 patients with the median age of 41,1 ± 8,6 years. The group of patients to whom Barricaid™ was implanted consisted of 30 patients (16 males and 14 females) with the median age of 38,2 ±9,5 years. Each of the three clinical results (VAS for leg pain, VAS for back pain and ODI), and the disk height was compared between the two groups of patients. Results: Better results were achieved in the group with the Barricaid™ implants, specifically for the VAS back pain result (97 % vs. 70 %, P = 0,016) and ODI (100 % vs. 87 %, P = 0,08). Conclusions: Our results point to the fact that maintaining the disk space and height decreases the accelerated degenerative processes of the affected spinal segment and assures more long lasting positive effects on decreasing the pain as well as the neurological symptoms.
Keywords (Croatian)Barricaid™ hernijacija diska križobolja lumboishijalgija mikrodiskektomija ponovna hernijacija diska
Keywords (English)BarricaidTM disk herniation low back pain microdiscectomy pain radiating to the leg reherniation
Publication typeprofessional paper - professional paper
Publication statuspublished
Peer reviewpeer review
Journal titleMedicina Fluminensis : Medicina Fluminensis
Numbering2012, Vol. 48, No. 3, pp 327-332
ISSN0025-7729
Datepublication: 03.09.2012.
Article URLhttp://hrcak.srce.hr/86947
Scientific fieldBIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Surgery
InstitutionUniversity of Rijeka, Faculty of Medicine
(Department of Neurosurgery)
URN:NBNhttps://urn.nsk.hr/urn:nbn:hr:184:892139